Sun ExposureCASE: This rash developed on the forearms and upper chest of a 13-year-old girl on the second day of a winter vacation in Hawaii. The patient lived in Canada, and this was her first tropical vacation.
erythemaThis freckle-nosed child displays the facial erythema, or slapped-cheek appearance, typical of erythema infectiosum.
hemangiomasThe parents of this 2-year-old boy brought their son for evaluation of swelling of the right leg and excoriation and serosanguineous discharge from the ankle region of 3 days’ duration. The child had had a hemangioma of the right ankle since birth. Subsequently, there was gradual spread of the lesion along the leg to the buttocks.
SacroiliitisA 23-month-old girl was admitted to the hospital with a history of refusing to bear weight on her right leg. She presented with a 1-day history of pain in the right hip, limping, fever, decreased appetite, and fussiness
eye disorders<p class="p3">The parents of a 2-month-old infant were concerned about a gradually enlarging reddish mass in the inner canthus of their daughter’s left eye. The 3-cm mass had been present for several weeks. It became engorged when the child cried or strained.</p><p> </p>
trauma<p class="p3">Every day, in every community, children are exposed to traumatic threats to their safety, health, and relationships.<sup>1</sup> Public and professional awareness about children’s exposure to violence has been heightened by recent events such as the Sandy Hook Elementary School shooting in Newtown, Connecticut. The shattering impact that natural disasters such as hurricanes, earthquakes, and tornadoes can have on the lives of children and families also has become widely recognized. Yet these highly publicized traumatic events are only the tip of the iceberg: Thousands of children are exposed every day to potentially traumatic stressors such as physical and sexual abuse; family, community, and school violence; bullying; and life-threatening or severely injurious disasters, accidents and illnesses. Children exposed to these stressors often unnoticed or are treated only for physical injuries.</p>
Dermatitis<p class="p2">A 7-year-old boy presented with a 1-year history of a rash on his forefeet. The rash was not pruritic, but there was an occasional burning sensation in the affected area. The child was active in sports. His past health was unremarkable. There was no family history of skin problems.</p>
Neck Masses<p class="p1">A 6-week-old, full-term, white girl presented with a rapidly enlarging right-sided neck/parotid gland mass. Her parents had noticed a small, nontender bump at 3 weeks of age that had remained the same size until 4 days before admission, at which time it began to rapidly enlarge. She continued to feed well and had no constitutional symptoms.</p>
Swelling<p><img src="/sites/default/files/transfer/Screen_Shot_2013-04-30_at_11.07.50_AM.png" alt="Cephalohematoma" title="Cephalohematoma" width="110" height="110" style="float: left; margin-left: 5px; margin-right: 5px;">Examples of lumps and bumps in children are presented and discussed in this photo essay. </p>
sleep<p class="p1"><strong><strong><em><img src="/sites/default/files/transfer/Screen_Shot_2013-04-30_at_10.24.54_AM.png" alt="screen time" title="screen time" width="110" height="110" style="float: left; margin-left: 5px; margin-right: 5px;"></em></strong></strong>The sleep duration of young people has declined over the last 100 years, and numerous problems have been linked to this decline, including poor academic performance, a lack of coordination, and increased aggression, hyperactivity, and obesity.<sup>1</sup> This decrease in total sleep has been attributed to later bedtimes rather than earlier wake times. Electronic media use immediately before sleep has been hypothesized to affect sleep patterns through time displacement, depression of melatonin, and cognitive arousal.<sup>1</sup> This study aimed to describe the most popular activities in the 90-minute period before sleep onset in preadolescents and adolescents. It also examined the relationship between presleep activity and sleep onset, particularly as it relates to electronic media use.</p>
fever<p><strong><img src="/sites/default/files/transfer/1304CFP_Cover_3.jpg" alt="cover" title="cover" style="float: left; margin-left: 5px; margin-right: 5px;" width="110" height="153">ABSTRACT:</strong> Fever is a consequence of an immune process that is initiated internally by an infection or endogenous process such as a collagen vascular disease. Understanding the aspects and historical nature of the fever can help in determining a process for intervention. Utilizing criteria may be helpful for infants, but most decisions are based on the clinical likelihood of bacterial disease versus viral disease. Addressing “fever phobia” in caregivers and school personnel may be the most difficult hurdle, but it should be discussed early during well-child visits.</p>